Provider Demographics
NPI:1518319110
Name:VOGLER, KRISTIN ELISE (PT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELISE
Last Name:VOGLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29615 FM 1093 RD
Mailing Address - Street 2:STE 2
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-3925
Mailing Address - Country:US
Mailing Address - Phone:281-533-0507
Mailing Address - Fax:281-533-0521
Practice Address - Street 1:29615 FM 1093 RD
Practice Address - Street 2:STE 2
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-3925
Practice Address - Country:US
Practice Address - Phone:281-533-0507
Practice Address - Fax:281-533-0521
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1263915225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist